Mark C Webster, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

124353 Issued in NY

Practice address

114 S Shore Rd
Old Forge, NY 13420-3500

Phone

(315) 369-6619

Fax

(315) 369-6533

NPI assigned

Dec 15, 2005

Last updated

May 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Adirondack Family Practice

  • Family Medicine Physician
  • Old Forge, NY
  • NPI 1306914627
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1588640296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "OLD FORGE",
            "state": "NY",
            "postal_code": "134200207",
            "telephone_number": "315-369-6619",
            "fax_number": "315-369-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S SHORE RD",
            "city": "OLD FORGE",
            "state": "NY",
            "postal_code": "134203500",
            "telephone_number": "315-369-6619",
            "fax_number": "315-369-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "MARK",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "124353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00552974",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0075950",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "441081441",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph C Rintrona, DDS
• Susan G Rundell, RPT
• Thomas J Socash, MD
• Hayly Kathleen Stein, OTR/L
• Town of Webb Ufsd
• Emma Whitney

• Family Medicine Physician in Old Forge, NY
• Providers in Old Forge, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.